Individual
JAY C COLEMAN JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ALC
Contact information
Practice address
2225 EDINBURGH DR, MONTGOMERY, AL 36116-2105
(334) 294-8717
Mailing address
2225 EDINBURGH DR, MONTGOMERY, AL 36116-2105
(334) 294-8717
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
C3640A
AL
343900000X
Non-emergency Medical Transport (VAN)
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Other
Enumeration date
12/05/2011
Last updated
12/31/2020
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